CN1729002A - Exemestane as chemopreventing agent - Google Patents
Exemestane as chemopreventing agent Download PDFInfo
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- CN1729002A CN1729002A CNA018153038A CN01815303A CN1729002A CN 1729002 A CN1729002 A CN 1729002A CN A018153038 A CNA018153038 A CN A018153038A CN 01815303 A CN01815303 A CN 01815303A CN 1729002 A CN1729002 A CN 1729002A
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- A61K31/565—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
- A61K31/568—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone
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Abstract
The present invention concerns the use of aromatase inhibitor exemestane, either alone or in combination with other therapeutic agents, in the chemoprevention of estrogen dependent cancer in mammals, including humans, at increased risk of the disease.
Description
Invention field
The invention belongs to pharmaceutical chemistry and cancer therapy drug field, and a kind of method of chemoprevention of estrogen dependent is provided.
Background of invention
It is generally acknowledged cancer, comprise that estrogen dependent cancer is caused by multistep process, a series of health sudden changes and/or chromosomal change wherein take place.Each step causes departing from of bigger normal cell behavior, controls the normal capacity of himself growing until the cell forfeiture, and therefore breeds.The cell that changes is at first bred and is tumor precancer, and it develops into metastatic carcinoma in the number stages.This process is known as neoplastic lesion.On the other hand, about 30% breast carcinoma is a hormone-sensitive, and uses plurality of reagents except that ovariectomy (surgery or radiology), comprises estrogen antagonist, progesterone and aromatase inhibitor in treatment.Respectively treat kind although exist, about 1/3rd early treatment's breast carcinoma (EBC) year recurs in 10 after diagnosis, and in a single day this disease become transitivity (BMC), and then average life is contemplated to about 2.5-3.Therefore, exist, be specially the height and the unsatisfied demand of the therapeutic agent of prevention constitutional and Secondary cases breast carcinoma prevention of hormone dependent.
Cancer chemoprevention is a kind of new requirement, and its basis depends on the epidemiology evidence, and it shows food component, comprises that vitamin and micronutrient such as beta-carotene, vitamin E, calcium and selenium can be the inhibitor of carcinogenesis.Though but clear and definite biology of the mechanism of not knowing fully that cell carcinoma takes place, a large amount of specific mechanisms seemingly takes place before the cancer.Therefore, for example estrogen modulators can be as the breast carcinoma chemopreventive agent that disturbs estrogen production, receptors bind or receptor activation.In this, the chemoprophylaxis performance that reduces to prove tamoxifen of second primary tumor in the breast carcinoma survivor's in 5 years of medication retrospective analysis.But, major concern be: the risk of the carcinoma of endometrium relevant with the tamoxifen administration increases.Because chemopreventive agent is intended to health or than (or lasting) use of health volunteer's midium or long term, toxicity is even slight and reversible toxicity also is debatable.Therefore, need in the art to give the medicine of low side effect and do not have the combination that synergetic toxicity keeps the anticarcinogen of enhanced therapeutic effect simultaneously.
Summary of the invention
The present invention relates to aromatase inhibitor exemestane and be combined in purposes in the mammiferous chemoprevention of estrogen dependent that comprises the people that disease risks increases separately or with additional therapeutic agent.
Describe in detail
The invention provides the purposes of exemestane in the medicine of preparation chemoprophylaxis or control growth of estrogen dependent cancer as first purpose.
The present invention also provide exemestane in the preparation chemoprophylaxis or control experience is another kind of be selected from following chemopreventive agent in, the purposes in the medicine of the growth of the patient's of treatment estrogen dependent cancer separately or in turn: taxane compounds, non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, the anthracycline chemical compound, Anti-HER 2 and EGFR antagonist or inhibitor, kinases inhibitor, quinoline-3-carboxylic acid amides, angiostatin, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, cyclooxygenase-2 inhibitor, razoxane (razoxin), platelet factor 4 (endostatin), the VEGF inhibitor, estrogen antagonist and thalidomide or their mixture.
Another object of the present invention provides a kind of method that is used for the mammiferous growth of estrogen dependent cancer that comprises the people of chemoprophylaxis or this treatment of control needs, and described method comprises the exemestane to this administration treatment effective dose.
The present invention also provides a kind of chemoprophylaxis or controls the combined method of the growth of the mammiferous estrogen dependent cancer that comprises the people that needs this treatment, and described method comprises to this mammal simultaneously, use exemestane separately or in turn and be selected from following chemopreventive agent: taxane compounds with another kind, non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, the anthracycline chemical compound, Anti-HER 2 and EGFR antagonist or inhibitor, kinases inhibitor, quinoline-3-carboxylic acid amides, cyclooxygenase-2 inhibitor, razoxane, angiostatin, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, platelet factor 4 (endostatin), estrogen antagonist, VEGF inhibitor and thalidomide or their mixture; Certain quantity and approaching is in time adopted in described administration, to be enough to produce the useful effect of therapeutics.
The present invention also provides a kind of exemestane and another kind of product that is selected from following chemopreventive agent of comprising: taxane compounds, non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, the anthracycline chemical compound, Anti-HER 2 and EGFR antagonist or inhibitor, kinases inhibitor, quinoline-3-carboxylic acid amides, angiostatin, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, cyclooxygenase-2 inhibitor, razoxane, platelet factor 4 (endostatin), estrogen antagonist, VEGF inhibitor and thalidomide or their mixture, described product is as being used for simultaneously, the combination preparation that is used for chemoprophylaxis or control growth of estrogen dependent cancer separately or in turn.
Can also comprise combination bag or compositions according to combination preparation of the present invention, wherein component can parallel placement and can be simultaneously, separate or in turn an identical people used.Therefore, exemestane of the present invention is with in other chemopreventive agent may reside in single or different packings.
The example of estrogen dependent cancer is mammary gland, cervix uteri, ovary and endometrial tumors.
Product exemestane is a chemical compound 6-methylene androstane-1,4-diene-3, and the 17-diketone, for example it is at US 4,808, describes in 616.
Term " chemoprophylaxis " means and comprises that primary prevention does not develop into the people's of cancer cancer and secondary prevention cancer as yet, and second primary cancer or the prevention that promptly prevent precancer to cure the patient have the cancer that worsens preceding vitiator.
Because cancer has slowly usually, the multistep development, therefore " control growing " of term estrogen dependent cancer used herein refers to slow down, disturb or end the mammiferous early stage precancerous pathological changes that comprises the people of disease risks increase.
The associating chemoprophylaxis that it has been observed by the present inventors that the estrogen dependent cancer of exemestane that comprises above-mentioned treatment effective dose and the another kind of chemopreventive agent for the treatment of effective dose can produce greater than any independent exemestane of independent administering therapeutic effective dose or the independent obtainable curative effect of chemopreventive agent, and promptly this combined therapy provides collaborative or superadditivity therapeutic effect.
Similarly, they have found to comprise that the exemestane of above-mentioned treatment time effective quantity and the chemical prophylactic treatment of associating of the inferior effectively estrogen dependent cancer of the another kind of chemopreventive agent of quantity of treatment can produce substantially the same chemoprophylaxis therapeutic effect, and described therapeutic effect can obtain by single administration exemestane or another kind of chemopreventive agent.
The most important thing is that they have found that the therapeutic effect of this up-to-date acquisition do not follow at the exemestane of single administration treatment effective dose or the toxic action that another kind of chemopreventive agent can cause.As indicated above, chemopreventive agent is desired, and long-term (or lasting) is used for health or relative health volunteer, even therefore slight and reversible toxicity also is debatable.
As mentioned above, the chemopreventive agent of this paper definition can be used as single exemestane treatment and uses one or more the above-mentioned chemopreventive agent that maybe can relate to except that exemestane.This combined treatment can be by simultaneously, in turn or individually each component of administering therapeutic realizes.
Can comprise with the chemoprophylaxis agent composition of the present invention of exemestane combination medicine-feeding: one or more, preferred 1-4 kind, particularly 1 or the chemopreventive agent of 2 kind of above-mentioned definition.
For example, taxane compounds of the present invention is paclitaxel (comprising Liposomal formulation) and many Xi Taqi.
For example, kinases inhibitor of the present invention is a tyrosine kinase inhibitor, compound S U6668 particularly, it is 3-[4-(2-carboxyethyl-3,5-dimethyl pyrrole-2-yl) methylene (methylidenyl)]-2-dihydroindole ketone and compound S U5416, be 3-[(2,4-dimethyl pyrrole-5-yl) methylene]-the 2-dihydroindole ketone, described chemical compound is known according to WO 96/40116 and WO99/61422.
For example, farnesyl protein transferase inhibitor can be a kind of in WO 00/25789 disclosed inhibitor, particularly (-)-6-[amino (4-chlorphenyl) (1-methyl isophthalic acid H-imidazoles-5-yl) methyl]-4-(3-chlorphenyl)-1-methyl-2 (1H)-quinolinone (chemical compound J-A; In WO97/21701, be called " comp.74 "), (+)-6-[amino (4-chlorphenyl) (1-methyl isophthalic acid H-imidazoles-5-yl) methyl]-4-(3-chlorphenyl)-1-methyl-2 (1H)-quinolinone (chemical compound J-B; In WO 97/21701, be called " comp.75 ") and be called the chemical compound of chemical compound " 39.0 ", described chemical compound is concrete as described in the embodiment 10 of WO 97/23748.
The example of cyclooxygenase-2 inhibitor is cox 2 inhibitor, particularly celecoxib (celecoxib), sieve husband Cox (Rofecoxib), parecoxib (parecoxib) and valdecoxib (valdecoxib).
The example of retinoids of the present invention comprises known Accutane, adapalene, idoxuridine AGN-193174, idoxuridine AGN-193676, idoxuridine AGN-193836, idoxuridine AGN-193109, A Luonai can (Aronex) AR-623, BMS-181162, add moral (Galderma) CD-437, according to husky (Eisai) ER34617, according to bent Nat (Etrinate), fenretinide (Fenretinide), ligand L GD-1550, but come Ka Xi many (lexacalcitol), Maxia pharmacy MX-781, mofarotene (mofarotene), MOLECULE DESIGN (Molecular Design) MDI-101, MOLECULE DESIGN MDI-301, MOLECULE DESIGN MDI-403, motretinide, according to husky 4-(2-[5-(4-methyl-7-ethyl benzofuran-2-yl) pyrrole radicals]) benzoic acid, Johnson and Johnson (Johnson; Johnson) N-[4-[2-thyl-1-(1H-imidazoles-1-yl) butyl] phenyl]-2-[4-morpholinodithio amine, acitretin (Soriatane), Luo Qi (Roche) SR-11262, Tuo Kerui are trans-tretinoin for (Tocoretinate), high polymer system (Advanced Polymer Systems), UAB research foundation UAB-8, Ta Zuorui can (Tazorac), Topekas auspicious (TopiCare), TaihoTAC-101 and dimension are loose Lip river moral (Vesanoid).
The example of matrix metallo-proteinase inhibitor of the present invention comprises known: 1-cyclopropyl-N-hydroxyl-4-[[4-[4-(trifluoromethoxy) phenoxy group] phenyl] sulfonyl]-4 piperidine formamides one hydrochlorate; N-hydroxyl-1-(phenyl methyl)-4-[[4-[4-(trifluoromethoxy) phenoxy group]-1 piperidyl] sulfonyl]-4-piperidine formamide one hydrochlorate; N-hydroxyl-1-(pyridylmethyl)-4-[[4-[4-(trifluoromethyl) phenoxy group] phenyl] sulfonyl]-4 piperidine formamide dihydrochlorides; N-hydroxyl-2; 3-dimethoxy-6-[[4-[4-(trifluoromethyl) phenoxy group]-piperidino] sulfonyl] Benzoylamide; N-hydroxyl-1-(4-pyridylmethyl)-4-[[4-[4-(trifluoromethyl) phenoxy group] phenyl] sulfonyl]-4 piperidine formamide dihydrochlorides; N-hydroxyl-1-(3-pyridylmethyl)-4-[[4-[4-(trifluoromethyl) phenoxy group] phenyl] sulfonyl]-4 piperidine formamide dihydrochlorides; N-hydroxyl-1-(2-pyridylmethyl)-4-[[4-[4-(trifluoromethyl) phenoxy group] phenyl] sulfonyl]-4 piperidine formamides one hydrochlorate; Britain's biotechnology (BritishBiotech) BB-2516 (marimastat); N4-[2; 2-dimethyl-1-[(methylamino) carbonyl] propyl group]-N1; 2-dihydroxy-3-(2-methyl-propyl)-; [2S-[N4 (R*); 2R*; 3S*]]-); the BMS 275291 that WO 97/19075 describes; niclosamide (Bayer) Ag Bay-12-9566 (Ta Nimasita (tanomastat)); 4-[(4 '-chlorine [1; the 1-diphenyl]-the 4-yl) oxygen]-the 2[(thiophenyl) methyl] butanoic acid; Agouron pharmacy AG-3340; N-hydroxyl-2; 2 '-dimethyl-4-[[4-(4 pyridine radicals oxygen) phenyl] sulfonyl]-3-thiomorpholine Methanamide; CollaGenex pharmacy CMT-3 (Mei Tasita (metastat)); 6-demethyl-6-deoxidation-4-removes the dimethylamino tetracycline; batimastat (BB-94) and Chiroscience D-2163; 2-[1S-([(2R, S)-acetyl group sulfydryl-5-phthalimido] valeryl-L leucyl-) amino-3-methyl butyl] imidazoles.
The example of α v β 3 integrin inhibitors is known: Vitaxin antibody (Ixsys); MerckKgaA EMD-121974; ring [RGDF-N (Me) V-]; (10S)-10; 11-dihydro-3-[3-(2-pyridinylamino) propoxyl group]-5H-dibenzo [a; d] cycloheptene-10-acetic acid; (2S)-and 7-[[(1H-benzimidazolyl-2 radicals-ylmethyl) methylamino] carbonyl]-2; 3; 4; 5-tetrahydrochysene-4 methyl-3-oxo-1H-1; 4-benzodiazepines-2-acetic acid; (2S)-2; 3; 4; 5-tetrahydrochysene-4-methyl-7-[[[(5-methyl isophthalic acid H-imidazo [4; 5-b] pyridine-2-yl] methyl] amino] carbonyl]-3-oxo-1H-1; 4-benzodiazepines-2-acetic acid; (bR)-b-[[[(3R)-2-oxo-3-[2-(5; 6; 7; 8-tetrahydrochysene-[1; 8]-and naphthyridines-2-yl) ethyl] the 1-1-pyrrolidinyl] acetyl group] amino]-d-(1H-indol-3-yl) valeric acid and (3R)-N-[3-hydroxyl-5-[(1; 4; 5,6-tetrahydrochysene-5-hydroxyl-2-pyrimidine radicals) amino] benzoyl] glycyl-3-(3-bromo-5-chloro-2-hydroxy phenyl)-b-alanine (compound S D 7784).
For example, anthracycline chemical compound of the present invention is amycin (comprising Liposomal formulation), epirubicin (comprising Liposomal formulation), darubicin, Nemorubicin (Nemorubicin), daunorubicin, Mitomycin-C, dactinomycin and mithramycin.
For example, the EGFR inhibitor is according to ASCO journal the 18th volume, 1999, the 388a page or leaf compound known CP-358, and 774 and ZD 1839, and by WO 95/03283 known ZM.254530.
For example, the EGFR antagonist is a kind of antibody, particularly chimeric antibody C225 and people's antibody E1.1, E2.4, E2.5, E6.2, E6.4, E2.11, E6.3 and E7.6.3, particularly E7.6.3.Preferred anti-egfr antibodies is chimeric antibody C225 and people's antibody E7.6.3.Chimeric antibody C225 is open by WO96/49210.People's antibody E1.1, E2.4, E2.5, E6.2, E6.4, E2.11, E6.3 and E7.6.3 are open by WO 98/50433.
Anti-HER 2 can be " complete " antibody or its segment, for example Fab, Fab ', F (ab ') 2 or Fv segment.The preferred examples of Anti-HER 2 is a trastu zumad, and for example it is disclosed in Cancer Res. (cancer research), 1998,58; 2825-2831.
For example, according to non-steroidal anti-inflammatory compounds of the present invention (NSAID) for to be selected from following chemical compound: aspirin, indomethacin, sulindac, bute, diclofenac, fentiazac, ketorolac, piroxicam, tenoxicam, wheat are examined Xikang (mecoxicam), western promise Xikang (cinnoxicam), ibufenac, ibuprofen, naproxen, ketoprofen, nabumetone, niflumic acid (niflumicacid) and nimesulide or their pharmaceutically acceptable salt.Preferred NSAID is that diclofenac, piroxicam, tenoxicam, wheat are examined Xikang, ibufenac, ibuprofen, naproxen and ketoprofen or their pharmaceutically acceptable salt.
For example, estrogen antagonist is a kind of selective estrogen receptor modulators (SERM), its preferred tamoxifen, raloxifene, toremifene, LY 353381 (arzoxifene), idoxifene, EM 800, Fu Weisitengte (fluvestrant) and Droloxifene/INN.
VEGF (VEGF) inhibitor and terminal enzyme inhibitor are well known in the art.For example, compound S U 5416 as herein described and SU 6668 still are the VEGF inhibitor.
Also known VEGF inhibitor or antagonist are as combining the antagonist that suppresses angiogenesis by reducing VEGF with cell receptor, for example it includes but not limited to that the blocking-up monoclonal antibody of the long factor of antibiosis is (as rhuMAbVEGF, people such as Ryan, Toxicol Pathol 1999,27:78-86), the blocking-up monoclonal antibody of anti-receptor is (as DC101 and derivant, people such as Witte, CancerMetastasis Rev 1998,17:155-61), the vegf receptor of dissolved form is (as soluble Flt, people such as Aiello, Proc Natl Acad Sci USA 1995,92:10457-61) or directly the interactional chemical compound between antagonism VEGF and the cell surface receptor is (as people such as Fairbrother, Biochemistry 1998,37:17754-64).
Quinoline-3-carboxylic acid amides, razoxane and thalidomide are known anti-angiogenic agents.In order to identify women, can use the tumor marker, knubble biological labelling and the alternative terminal point tissue biological's labelling (SEBs) that are usually used in the cancerous diagnose of clinical tumor dependency with the height risk (therefore needing chemoprophylaxis) that produces the hormonal dependent cancer.
Term " tumor marker " or " knubble biological labelling " or " SEBs " broadly comprise the molecule with divergent character that appears in a large number in body fluid relevant with clinical tumor or the tissue, comprise that also the chromosome relevant with tumor changes.Tumor marker mainly is divided into three kinds: molecule or cell marking, chromosomal marker and serology or serum marker.
Particularly, for serum marker, they often can be before clinical tumor detects the several months measure and can be used as that a kind of early diagnosis test is used for patient-monitoring and treatment is estimated.
For example, in primary chemical prevention breast carcinoma, following material can be used as SEBs: general labeling: routine pathology histology, morphology, propagation, neovascularization; And specific marker: estrogen receptor (ER), progesterone receptor, ErB2, EGFR, VGFR, BCRA-1, BCRA-2, PS2 and IGFR1R.
About the SEBs in secondary chemoprophylaxis breast carcinoma, below for example can using: typical case or atypical epithelium hypertrophy, and many cell biological labellings unusual (dna ploidy, p53, EGFR, ER, PgR and her2/neu).
General cellular abnormality increases to be increased relevantly with the unusual frequency of biomarker, and atypia hypertrophy and the unusual evidence of most biomarker are the modal performances of women that develops into cancer afterwards.The increase of mammary gland radiography density is also relevant with the increase of breast carcinoma risk, so mammary gland radiography density can be represented a kind of suitable SEB.In addition, mammary gland magnetic resonance imaging (MRI) can be a kind of important SEB.
Therefore, mammal comprises the people, has particularly produced tumor marker but does not have the women of clinical disease symptom to have the risk of disease.Therefore, in these mammals, cancerogenic multistep pathological changes may be by being slowed down, disturbed by chemoprophylaxis Therapeutic Method provided by the invention or terminating in the early stage canceration last stage.
The pharmacology
By finding that active identity basis exemestane of the present invention that exemestane has the inductive rat inflammatory of prevention dimethylbenzanthracene (DMBA) tumor model is combined in therapeutic effect in the mammiferous hormonal dependent treatment for cancer separately or with another kind of chemopreventive agent.Exemestane treatment (4,20 or 100mg/kg/wk, IM) originate in DMBA contact (20mg/ rat, PO) 1 week and 19 weeks of continuing afterwards.When 19 all treatments phases finished, exemestane was reduced to 13.6% of 100mg/kg treatment group with the tumor incidence rate significantly from 85% of the rat of excipient treatment.And it is multiple that the exemestane of 100mg/kg reduces tumor significantly, and matched group is 2.55 number of tumors/rat and the treatment group is 0.27.Do not observe signs of toxicity.
Method and administration
In the effective treatment according to the patient of treatment/prevention method of the present invention, but exemestane and other chemopreventive agent can comprise oral and parenteral route with any form or pattern administration that makes chemical compound biological utilisation when the effective dose.
Term used herein " administration " means any pharmaceutically acceptable mode of administration of using to the patient, comprises parenteral and oral administration.
" parenteral " meant intravenous, subcutaneous, intradermal or intramuscular administration.
The oral component that comprises the combination preparation of using suitable for oral administration form such as tablet, capsule, suppository, solution, emulsion, powder, syrup etc.
The order of administration of actual preferable methods and combination preparation of the present invention can become according to pharmaceutical formulation, the particular cancers of being prevented of the pharmaceutical formulation of used specific exemestane, used other specific chemopreventive agent and the particular patient of being treated.
The dosage range of combination preparation administration can become with age, symptom, disease of patient degree, and can be determined by those skilled in the art.
Therefore dosage must be determined according to the associated treatment of specific patient's symptom, reaction and any conventional treatments, and may adjust at the variation of symptom and/or according to other clinical symptoms.
In combination therapy according to the present invention, exemestane can with the administration simultaneously of other chemopreventive agent, perhaps described chemical compound can be in turn with arbitrary order administration.
Dosage
According to mammiferous method of chemoprevention of estrogen dependent provided by the invention, for example the oral dose scope of exemestane is about 5mg every day to about 600mg every day, particularly about 10 to about 50, more preferably about 25mg every day, perhaps the intramuscular administration dosage range is about 50 to about 500mg per injection.As embodiment preferred of the present invention, exemestane to be to contain the complex of cyclodextrin, the form administration of exemestane/beta-schardinger dextrin-complex particularly, and its daily dose scope is about 10 to about 20mg, preferably approximately 15 or 20mg.
According to the present invention, the treatment effective dose of other chemopreventive agent that is used in combination with exemestane is generally dosage commonly used in the treatment of these chemical compounds.More specifically, the treatment effective dose of another kind of chemopreventive agent means the quantity that effectively prevents the chemical compound of estrogen dependent cancer with the exemestane combination medicine-feeding time.
It is known that the treatment effective dose fixes in those skilled in the art's the limit of power really.For example the effective dose of compound S U 5416 or SU 6668 is the quantity according to WO 99/61422 instruction.
The effective dose of compound S D7784 is about 10 to about 300mg/kg, and especially preferably approximately 20 to about 200mg/kg.
The effective chemical preventive dose of amycin can be about 20mg/m
2To about 100mg/m
2
The effective chemical preventive dose of epirubicin can be about 20mg/m
2To about 200mg/m
2
Can be about 1mg/m according to reaching the effective chemical preventive dose of making a gesture of measuring
2To about 50mg/m
2
The effective chemical preventive dose of paclitaxel can be about 100mg/m
2To about 300mg/m
2
The effective chemical preventive dose of many Xi Taqi can be about 50mg/m
2To about 100mg/m
2
For example, the chemoprophylaxis amount that is used for recombined human monoclonal Anti-HER 2 trastu zumad is about 1 to about 1000mg/m
2Body surface area.More preferably used course of therapy is about 50 to about 500mg/m
2Body surface area.
For example in the method for the present invention that is used for recombined human monoclonal anti EGFR C225 antibody (west soil husky wood (cetuximab)) administration, be about 150 to about 500mg/m the general used course of treatment
2Body surface area.Be about 400mg/m the preferred used course of treatment
2Loading, keep about 180-250mg/m then weekly
2Dosage.According to embodiment preferred of the present invention, give patient infusion west soil husky wood with 4 cumulative all schemes of dosage weekly, wherein dosage is at most 200mg/m
2If stable disease can begin course of treatment in another 8 week subsequently.
In the method for the invention, for the administration of recombined human monoclonal antibody E7.6.3, be about 1 to about 1000mg/m the general course of treatment of adopting
2Body surface area.More preferably be about 60 to about 600mg/m the course of treatment of Shi Yonging
2Body surface area.
In the method for the invention, for the administration of Compound C P358774, be about 25 to about 150mg p.os., to reach about 300 to about 700ng/ml, the plasma concentration of preferred 500ng/ml the general course of treatment of adopting.
In the method for the invention, for the administration of chemical compound ZD 1839, be about 50 to about 300mg/ days p.os the general used course of treatment.
The dosage range of estrogen antagonist administration can be according to conventional practice, and for example dosage range is about 0.1 to about 30mg/Kg body weight every day.
The effective dose scope of cox 2 inhibitor can be about 0.1 to about 2000mg, preferably approximately 0.5 to about 500, most preferably about 1 and approximately between the 200mg.For celecoxib, sieve husband Cox, parecoxib and valdecoxib, about 0.01 to about 100mg/Kg body weight especially, preferably approximately 0.1 and approximately the daily dose between the 50mg/Kg body weight may suit.Daily dose can divide 1-4 time dosed administration every day.
More specifically, for celecoxib, about 50 to about 500mg, about 200mg particularly, once a day or twice dosage may suit.
For sieve husband Cox, general dosage is about 12.5 to about 50mg/ days.Route of administration is preferably and is administered systemically, for example mouth or parenteral, particularly intravenous or intramuscular administration.
According to pharmacological viewpoint, find that the valuable biological property of exemestane is its distinctive aromatase deactivation mechanism.
Aromatase (450
Arom) be the Cytochrome P450 hemoprotein of the particular form of a kind of P450 of comprising (haemachrome) part and peptide moiety.This enzyme catalysis multistep reaction causes the A cyclophane structure of androgen substrate (mainly being ANDROSTENEDIONE) is turned to estrone, and described reaction requires the existence of cofactor NADPH.
After this enzyme reaction, the enzyme molecule can be used to finish new aromatisation once more.
Broad research the inhibiting mechanism of aromatase of exemestane, and found that this chemical compound causes enzyme deactivation.In fact, the exemestane relevant with the natural substrate ANDROSTENEDIONE is identified as a kind of substrate of mistake at first on the structure by aromatase, thereby competes enzymatic activity in the avtive spot and the ANDROSTENEDIONE of enzyme.This chemical compound is converted into (completely with NADPH dependency mechanism) and the enzyme irreversible fixation that causes its inactivation intermediate product of (being also known as commits suiside suppresses) then.Therefore, this enzyme quilt is inactivation clearly, and estrogen production needs enzymatic synthesis again.
Therefore, because exemestane is as the biological activity of aromatase deactivator and the different biological activity of additional chemopreventive agent, thereby compositions of the present invention and combination therapy provide two approach of cancer have been attacked.
Generally run into the change and the adjustment of multiple symptom and parameter in clinical treatment, these are conspicuous to the technical staff in the scope of the invention.
The pharmaceutical composition that comprises exemestane and/or another kind of chemopreventive agent according to the present invention can be according to technology preparation well known by persons skilled in the art.For example, can be according to US4,808,616 preparations comprise the pharmaceutical composition of exemestane.
For exemestane/cyclodextrin complexes, noticed that cyclodextrin is crystalline, water solublity, ring type, non-reduced oligosaccharide, this oligosaccharide is by 6,7 or 8 glucopyranose units with the cylindrical cavity shape and structure that can comprise multiple foreign molecules.Because their its specific structure, the most useful a kind of feature of cyclodextrin are the abilities that they form inclusion compound or complex.At levels of drugs, the application of these inclusions is used to improve the bioavailability of stability, all dissolubility, dissolving characteristic and possible enclose molecule basically, thereby allowing to send is difficult to the bio-pharmaceuticals performance that forms active ability or significantly improve them.
Cyclodextrin/medicinal composition provides two important product advantages that are used for oral formulations: improving bioavailability and reducing stimulates.
For some metabolism in gastrointestinal tract, perhaps do not absorb fully or because medicine not exclusively dissolving and, observe the improvement of bioavailability in gastrointestinal tract with the medicine that variable mode absorbs.
CDs uses the true solution of medicine by permission in tablet manufacture but not the true solution conduct of suspension or use medicine can be provided for improving the curative effect of oral reliability by the final preparation that the patient utilizes.
With regard to the steroid class pharmaceutical preparation that is used for oral route, the factor that all are above-mentioned and the advantage of expection are particularly useful.
In fact known steroid class active matter (as exemestane) shortcoming is to utilize (by degraded in gastrointestinal tract environment and at first by the liver effect) and bad pharmaceutical properties (dissolubility that they obtained under most situation is negligible) before the system.
Therefore; active matter with can improve the physical and chemical performance of active matter and protect the compound administration unit dosage form that may allow to comprise the active medicine of low dosage of medicament (as cyclodextrin) of its antagonism external environment condition, and to it bioavailability and clinical efficacy without any illeffects.
With regard to exemestane, the inclusion complex that experimental results show that the active matter of 1: 2 mol ratio and beta-schardinger dextrin-improves 7 times with the dissolubility of active matter, its solid rate of dissolution is improved 9 times, and obviously improve its chemical stability, increase the storage life stability of preparation, and can be by quicker and biological utilisation effectively.
The combination of all of these factors taken together allows to obtain identical clinical efficacy by the active matter of using low quantity:
For example, (promptly at present commercially available is Aromasin if the target organism availability of exemestane/beta-schardinger dextrin-preparation is than conventional formulation
TMSugar-coated preparation) high by 30%, then obtain identical clinical efficacy required the day dosage can reduce to 10-20mg from 25.
This uses for treatment is useful especially for chemoprophylaxis, and wherein this medicine must be used for carrying out long term administration in especially over a long time.Example of formulations:
Exemestane 20mg tablet
Compositions: exemestane 20.00mg
Beta-schardinger dextrin-178.00mg
Avicel?PH101 75.00mg
Explotab 24.00mg
Magnesium stearate 3.00mg
According to procedures known in the art, can prepare exemestane/cyclodextrin kneading system.
The combined therapy that it has been observed by the present inventors that exemestane that this paper defines and another kind of therapeutic agent is also treated estrogen dependent cancer, cancer particularly above-mentioned effectively except effectively preventing.And, by these combined therapies, can provide collaborative or superadditivity antitumous effect.
Therefore, the present invention also provide exemestane preparation be used for the treatment of the experience be selected from following another kind of therapeutic agent in, the purposes in the medicine of the patient's of treatment estrogen dependent cancer separately or in turn: non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, kinases inhibitor, quinoline-3-carboxylic acid amides, angiostatin, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, platelet factor 4 (endostatin), toremifene, Droloxifene/INN, cyclooxygenase-2 inhibitor, SU5416, SU6668, razoxane (razoxyn), arzoxifene, idoxifene, EM800 and thalidomide or their mixture.
The present invention also provides a kind of combined method that is used for the treatment of the mammiferous estrogen dependent cancer that comprises the people of this treatment of needs, and described method comprises to this mammal simultaneously, give this administration exemestane separately or in turn and be selected from following therapeutic agent: non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α V β 3 integrin inhibitors, kinases inhibitor, quinoline-3-carboxylic acid amides, cyclooxygenase-2 inhibitor, SU5416, SU6668, razoxane, angiostatin, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, platelet factor 4 (endostatin), toremifene, Droloxifene/INN, arzoxifene, idoxifene, EM800 and thalidomide or their mixture; It is approaching that described treatment adopts certain consumption and time to go up, to be enough to produce the useful effect of treatment.
The present invention also provides and comprises exemestane and the another kind of product that is selected from following therapeutic agent: non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, kinases inhibitor, quinoline-3-carboxylic acid amides, angiostatin, cyclo-oxygenase V inhibitor, SU 5416, SU 6668, razoxane, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, platelet factor 4 (endostatin), toremifene, Droloxifene/INN, arzoxifene, idoxifene, EM 800 and thalidomide or their mixture, described product is used for simultaneously as a kind of, the combination preparation that is used for the treatment of estrogen dependent cancer separately or in turn.
Can also comprise product according to combination preparation of the present invention, i.e. compositions bag or compositions, component wherein can parallel placement and can be simultaneously, separate or in turn an identical people used.Therefore, exemestane of the present invention is with in other chemopreventive agent may reside in single or different packings.
Term used herein " superadditivity or synergistic antitumor effect " means by using the combination of exemestane and another kind of therapeutic agent and suppress tumor growth for people, particularly women, and tumor is shunk back fully.
Therefore should anti-ly plant the tumor activity preparation for the product that comprises exemestane or other therapeutic agent, and have the activity of reinforcement (superadditivity), this activity is greater than the summation of independent component effect.
According to a preferred aspect of the present invention, the anti-tumor effect of superadditivity causes controlling more effectively, promptly slows down, disturbs, ends, stops or anticancer therapy that reversing tumor forms.
" Growth Control " of tumor used herein refers to slow down, disturbs, ends or stops its growth, do not eliminate tumor inevitably fully.
Therefore, the life expectancy that term " treatment " means the individuality of suffering from cancer simply will increase, and promptly reduce one or more symptoms of disease and/or improve quality of life.
Claims (53)
1. exemestane is used for the purposes of the medicine of chemoprophylaxis or control growth of estrogen dependent cancer in preparation.
2. according to the purposes of claim 1, wherein this medicine is used for the primary prevention estrogen dependent cancer.
3. according to the purposes of claim 1, wherein this medicine is used for the secondary prevention estrogen dependent cancer.
4. according to the purposes of claim 1, wherein this estrogen dependent cancer is mammary gland, cervix uteri, ovary or endometrial tumors.
5. according to the purposes of claim 1, wherein this medicine is used for orally, and exemestane content is about 10 to about 50mg; Perhaps this medicine is used for intramuscular administration, and exemestane content is about 50 to about 600mg.
6. exemestane is used for the purposes of medicine of chemoprophylaxis or control patient's growth of estrogen dependent cancer in preparation, when described patient accepts another kind and is selected from following chemopreventive agent, treat separately or in turn: taxane compounds, non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, the anthracycline chemical compound, Anti-HER 2 and EGFR antagonist or inhibitor, kinases inhibitor, quinoline-3-carboxylic acid amides, angiostatin, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, cyclooxygenase-2 inhibitor, razoxane, platelet factor 4 (endostatin), estrogen antagonist, VEGF inhibitor and thalidomide or their mixture.
7. according to the purposes of claim 6, wherein provide the superadditivity therapeutic effect.
8. according to the purposes of claim 6, wherein this medicine is used for the primary prevention estrogen dependent cancer.
9. according to the purposes of claim 6, wherein this medicine is used for the secondary prevention estrogen dependent cancer.
10. according to the purposes of claim 6, wherein this estrogen dependent cancer is mammary gland, cervix uteri, ovary or endometrial tumors.
11., wherein comprise the chemopreventive agent of 1-4 kind claim 6 definition with the chemopreventive agent of exemestane combination medicine-feeding according to the purposes of claim 6.
12. according to the purposes of claim 6, wherein this taxane compounds is selected from: paclitaxel (comprising Liposomal formulation) and many Xi Taqi.
13. according to the purposes of claim 6, wherein this kinases inhibitor is selected from: 3-[4-(2-carboxyethyl-3,5-dimethyl pyrrole-2-yl) methylene]-2-dihydroindole ketone and 3-[(2,4-dimethyl pyrrole-5-yl) methylene]-the 2-dihydroindole ketone.
14. according to the purposes of claim 6, wherein this farnesyl protein transferase inhibitor is selected from: (-)-6-[amino (4-chlorphenyl) (1-methyl isophthalic acid H-imidazoles-5-yl) methyl]-4-(3-chlorphenyl)-1-methyl-2 (1H)-quinolinone, (+)-6-[amino (4-chlorphenyl) (1-methyl isophthalic acid H-imidazoles-5-yl) methyl]-4-(3-chlorphenyl)-1-methyl-2 (1H)-quinolinone and chemical compound " 39.0 ".
15. according to the purposes of claim 6, wherein this retinoids is selected from: Accutane, adapalene, idoxuridine AGN-193174, idoxuridine AGN-193676, idoxuridine AGN-193836, idoxuridine AGN-193109, but A Luonai AR-623, BMS-181162, add moral CD-437, according to husky ER-34617, according to bent Nat, fenretinide, ligand L GD-1550, but come Ka Xi many, Maxia pharmacy MX-781, mofarotene (mofarotene), MOLECULE DESIGN MDI-101, MOLECULE DESIGN MDI-301, MOLECULE DESIGN MDI-403, motretinide, according to husky 4-(2-[5-(4-methyl-7-ethyl benzofuran-2-yl) pyrrole radicals]) benzoic acid, Johnson and Johnson N-[4-[2-thy1-1-(1H-imidazoles-1-yl) butyl] phenyl]-2-[4-morpholinodithio amine, acitretin, Luo Qi SR-11262, Tuo Kerui replaces, the high polymer system is trans-tretinoin, UAB research foundation UAB-8, Ta Zuorui can, Topeka is auspicious, Taiho TAC-101 and the diffusing Lip river of dimension moral.
16. according to the purposes of claim 6, wherein this inhibitors of metalloproteinase is selected from:
1-cyclopropyl-N-hydroxyl-4-[[4-[4-(trifluoromethoxy) phenoxy group] phenyl] sulfonyl]-4-piperidine formamide one hydrochlorate; N-hydroxyl-1-(phenyl methyl)-4-[[4-[4-(trifluoromethoxy) phenoxy group]-piperidino] sulfonyl]-4-piperidine formamide one hydrochlorate; N-hydroxyl-1-(pyridylmethyl)-4-[[4-[4-(trifluoromethyl) phenoxy group] phenyl] sulfonyl] 4-piperidine formamide dihydrochloride; N-hydroxyl-2; 3-dimethoxy-6-[[4-[4-(trifluoromethyl) phenoxy group]-piperidino] sulfonyl]-Benzoylamide; N-hydroxyl-1-(4-pyridylmethyl)-4-[[4-[4-(trifluoromethyl) phenoxy group] phenyl] sulfonyl]-4-piperidine formamide dihydrochloride; N-hydroxyl-1-(3-pyridylmethyl)-4-[[4-[4 (trifluoromethyl) phenoxy group] phenyl] sulfonyl]-4-piperidine formamide dihydrochloride; N-hydroxyl-1-(2-pyridylmethyl)-4-[[4-[4-(trifluoromethyl) phenoxy group] phenyl] sulfonyl]-4-piperidine formamide one hydrochlorate; Britain biotechnology BB-2516 (marimastat); N4-[2; 2-dimethyl-1-[(methylamino) carbonyl]-propyl group]-N1; 2-dihydroxy-3-(2-methyl-propyl)-; [2S[N4 (R*); 2R*; 3S*]]-); BMS 275291; Bayer Ag Bay-12-9566 (Ta Nimasita); 4-[(4 '-chlorine [1; the 1-diphenyl]-the 4-yl) oxygen]-the 2-[(thiophenyl) methyl] butanoic acid; Agouron pharmacy AG-3340; N-hydroxyl-2; 2 '-dimethyl-4-[[4-(4 pyridine radicals oxygen) phenyl] sulfonyl]-3-thiomorpholine Methanamide; CollaGenex pharmacy CMT-3 (Metastat); 6-demethyl-6-deoxidation-4-removes the dimethylamino tetracycline; batimastat (BB-94) and Chiroscience D-2163; 2-[1S-([(2R, S)-acetyl group sulfydryl-5-phthalimido] valeryl-L-leucyl-) amino-3-methyl butyl] imidazoles.
17. according to the purposes of claim 6, wherein α v β 3 integrin inhibitors are selected from:
Vitaxin antibody (Ixsys); Merck KgaA EMD-121974; ring [RGDF-N (Me) V-]; (10S)-10; 11-dihydro-3-[3-(2-pyridinylamino) propoxyl group]-5H-dibenzo [a; d] cycloheptene-10-acetic acid; (2S)-and 7-[[(1H-benzimidazolyl-2 radicals-ylmethyl) methylamino] carbonyl]-2; 3; 4; 5-tetrahydrochysene-4-methyl-3-oxo-1H-1; 4-benzodiazepines-2-acetic acid; (2S)-2; 3; 4; 5-tetrahydrochysene-4-methyl-7-[[[(5-methyl isophthalic acid H-imidazo [4; 5-b] pyridine-2-yl] methyl] amino] carbonyl]-3-oxo-1H-1,4-benzodiazepines-2-acetic acid; (bR)-b-[[[(3R)-2-oxo-3-[2-(5,6; 7; 8-tetrahydrochysene-[1,8]-naphthyridines-2-yl) ethyl] the 1-1-pyrrolidinyl] acetyl group] amino]-d-(1H-indol-3-yl) valeric acid and (3R)-N-[3-hydroxyl-5-[(1,4; 5,6-tetrahydrochysene-5-hydroxyl-2-pyrimidine radicals) amino] benzoyl] glycyl-3-(3-bromo-5-chloro-2-hydroxy phenyl)-b-alanine (compound S D 7784).
18. according to the purposes of claim 6, wherein this anthracycline chemical compound is selected from: amycin (comprising Liposomal formulation), epirubicin (comprising Liposomal formulation), darubicin, Nemorubicin, daunorubicin, Mitomycin-C, dactinomycin and mithramycin.
19. according to the purposes of claim 6, wherein this EGFR inhibitor is selected from Compound C P-358, and 774, ZD 1839 and ZM.254530.
20. according to the purposes of claim 6, wherein this EGFR antagonist is selected from: chimeric antibody C225 and people's antibody E1.1, E2.4, E2.5, E6.2, E6.4, E2.11, E6.3 and E7.6.3.
21. according to the purposes of claim 6, wherein the antibody of this anti-HER2 is trastu zumad.
22. according to the purposes of claim 6, wherein this estrogen antagonist is selected from tamoxifen, raloxifene, toremifene, arzoxifene, idoxifene, EM 800 and Droloxifene/INN.
23. according to the purposes of claim 6, wherein this NSAID is selected from aspirin, indomethacin, sulindac, bute, diclofenac, fentiazac, ketorolac, piroxicam, tenoxicam, wheat and examines Xikang, western promise Xikang, ibufenac, ibuprofen, naproxen, ketoprofen, nabumetone, niflumic acid and nimesulide or their pharmaceutically acceptable salt.
24. according to the purposes of claim 6, wherein this cyclooxygenase-2 inhibitor is selected from celecoxib, sieve husband Cox, parecoxib and valdecoxib.
25. exemestane is used for the purposes of medicine of oral exemestane/cyclodextrin complexes form with chemoprophylaxis or control growth of estrogen dependent cancer in preparation.
26. according to the purposes of claim 25, wherein the quantity of exemestane is about 15mg in exemestane/cyclodextrin complexes.
27. according to the purposes of claim 25, wherein the quantity of exemestane is about 20mg in exemestane/cyclodextrin complexes.
28. exemestane is used for the treatment of purposes in patient's the medicine of estrogen dependent cancer in preparation, when described patient accepts another kind and is selected from following therapeutic agent, treat separately or in turn: non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, kinases inhibitor, quinoline-3-carboxylic acid amides, angiostatin, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, platelet factor 4 (endostatin), arzoxifene, idoxifene, cyclooxygenase-2 inhibitor, SU 5416, SU 6668, razoxane, EM 800 and thalidomide or their mixture.
29. according to the purposes of claim 28, wherein this estrogen dependent cancer is mammary gland, cervix uteri, ovary or endometrial tumors.
30. comprise exemestane and the another kind of product that is selected from following therapeutic agent: non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, kinases inhibitor, quinoline-3-carboxylic acid amides, angiostatin, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, platelet factor 4 (endostatin), arzoxifene, idoxifene, cyclooxygenase-2 inhibitor, SU 5416, SU 6668, razoxane, EM 800 and thalidomide or their mixture, described product is used for simultaneously as a kind of, the combination preparation of application of treatment estrogen dependent cancer separately or in turn.
31. comprise exemestane and the another kind of product that is selected from following chemopreventive agent: taxane compounds, non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, the anthracycline chemical compound, Anti-HER 2 and EGFR antagonist or inhibitor, kinases inhibitor, quinoline-3-carboxylic acid amides, angiostatin, cyclooxygenase-2 inhibitor, razoxane, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, platelet factor 4 (endostatin), estrogen antagonist, VEGF inhibitor and thalidomide or their mixture, described product is used for simultaneously as a kind of, the combination preparation of applied chemistry prevention and control growth of estrogen dependent cancer separately or in turn.
32. be used for the method for the mammiferous growth of estrogen dependent cancer that comprises the people of chemoprophylaxis or this treatment of control needs, described method comprises the exemestane to this administration treatment effective dose.
33. according to the method for claim 32, wherein exemestane is oral with the form of exemestane/cyclodextrin complexes.
34. according to the method for claim 33, wherein the day dosage of exemestane is about 15mg.
35. according to the method for claim 33, wherein the day dosage of exemestane is about 20mg.
36. according to the method for claim 32, wherein oral about 5 to 600mg/ days exemestane.
37. according to the method for claim 32, wherein oral about 10 to 50mg/ days exemestane.
38. according to the method for claim 32, wherein oral about 25mg/ days exemestane.
39. according to the method for claim 32, about 50 to the 500mg/ days exemestane of parenteral administration wherein.
40. be used for the method for the mammiferous growth of estrogen dependent cancer that comprises the people of chemoprophylaxis or this treatment of control needs, described method comprises to this mammal simultaneously, use exemestane separately or in turn and be selected from following chemopreventive agent: taxane compounds with other, non-steroidal anti-inflammatory compounds (NSAID), retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, the anthracycline chemical compound, Anti-HER 2 and EGFR antagonist or inhibitor, kinases inhibitor, quinoline-3-carboxylic acid amides, angiostatin, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, platelet factor 4 (endostatin), estrogen antagonist, cyclooxygenase-2 inhibitor, razoxane, VEGF inhibitor and thalidomide or their mixture, some and approaching is in time adopted in described treatment, to be enough to produce the useful effect of therapeutics.
41. according to the method for claim 40, wherein exemestane and the administration simultaneously of other chemopreventive agent.
42. according to the method for claim 40, wherein exemestane and the administration in turn of other chemopreventive agent.
43. according to the method for claim 40, wherein oral about 5 to 600mg/ days exemestane.
44. according to the method for claim 40, wherein oral about 10 to 50mg/ days exemestane.
45. according to the method for claim 40, wherein oral about 25mg/ days exemestane.
46. according to the method for claim 40, about 50 to the 500mg/ days exemestane of parenteral administration wherein.
47. according to the method for claim 40, its this estrogen antagonist is selected from tamoxifen, raloxifene, toremifene, arzoxifene, idoxifene, EM 800 and Droloxifene/INN.
48. according to the method for claim 40, wherein this cox 2 inhibitor is selected from celecoxib, sieve husband Cox, parecoxib and valdecoxib.
49. according to the method for claim 40, wherein this kinases inhibitor is selected from 3[4-(2-carboxyethyl-3,5-dimethyl pyrrole-2-yl) methylene]-2-dihydroindole ketone and 3-[(2,4-dimethyl pyrrole-5-yl) methylene]-the 2-dihydroindole ketone.
50. be used for the treatment of the method for the mammiferous growth of estrogen dependent cancer that comprises the people of this treatment of needs, described method comprises to this mammal simultaneously, use exemestane separately or in turn and be selected from following therapeutic agent: non-steroidal anti-inflammatory compounds (NSAID) with other, retinoids, farnesyl protein transferase inhibitor, matrix metallo-proteinase inhibitor, α v β 3 integrin inhibitors, kinases inhibitor, quinoline-3-carboxylic acid amides, angiostatin, cyclooxygenase-2 inhibitor, SU 5416, SU 6668, razoxane, dehydroepiandrosterone (DHEA), the terminal enzyme inhibitor, platelet factor 4 (endostatin), arzoxifene, idoxifene, EM 800 and thalidomide or their mixture, some and approaching is in time adopted in described treatment, to be enough to produce the useful effect of therapeutics.
51. according to the method for claim 50, wherein this cyclooxygenase-2 inhibitor is selected from celecoxib, parecoxib, sieve husband Cox and valdecoxib.
52. according to the method for claim 50, wherein exemestane and the administration simultaneously of other chemopreventive agent.
53. according to the method for claim 50, wherein exemestane and the administration successively of other chemopreventive agent.
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| EP (1) | EP1317270A1 (en) |
| JP (1) | JP2004508334A (en) |
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| CN (1) | CN1729002A (en) |
| AR (1) | AR034150A1 (en) |
| AU (2) | AU2001289865B2 (en) |
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| SI3929196T1 (en) | 2013-09-24 | 2023-11-30 | Fujifilm Corporation | Pharmaceutical composition of a nitrogen-containing compound or salt thereof, or metal complex thereof |
| ES2806276T3 (en) | 2015-12-30 | 2021-02-17 | Univ Saint Louis | Meta-azacyclic aminobenzoic acid derivatives as pan-integrin antagonists |
| AU2023235233A1 (en) | 2022-03-14 | 2024-09-12 | Slap Pharmaceuticals Llc | Multicyclic compounds |
| CN114948901B (en) * | 2022-05-06 | 2023-04-21 | 郑州大学第一附属医院 | Exemestane nanoparticle and preparation for synergistic treatment of breast cancer and preparation method thereof |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB8517360D0 (en) * | 1985-07-09 | 1985-08-14 | Erba Farmitalia | Substituted androsta-1,4-diene-3,17-diones |
| AUPN814496A0 (en) * | 1996-02-19 | 1996-03-14 | Monash University | Dermal penetration enhancer |
| WO2000038717A2 (en) * | 1998-12-23 | 2000-07-06 | G.D. Searle & Co. | Use of a matrix metalloproteinase inhibitor and radiation as a combined treatment of neoplasia |
| GB9911582D0 (en) * | 1999-05-18 | 1999-07-21 | Pharmacia & Upjohn Spa | Combined method of treatment comprising an aromatase inhibitor and a further biologically active compound |
| GB0005257D0 (en) * | 2000-03-03 | 2000-04-26 | Pharmacia & Upjohn Spa | Breast cancer hormonal therapy |
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2001
- 2001-08-31 CA CA002419590A patent/CA2419590A1/en not_active Abandoned
- 2001-08-31 AU AU2001289865A patent/AU2001289865B2/en not_active Ceased
- 2001-08-31 MX MXPA03001983A patent/MXPA03001983A/en not_active Application Discontinuation
- 2001-08-31 WO PCT/EP2001/010172 patent/WO2002020020A1/en active IP Right Grant
- 2001-08-31 BR BR0113625-9A patent/BR0113625A/en not_active Application Discontinuation
- 2001-08-31 EP EP01969689A patent/EP1317270A1/en not_active Withdrawn
- 2001-08-31 US US10/363,935 patent/US20040024044A1/en not_active Abandoned
- 2001-08-31 NZ NZ524104A patent/NZ524104A/en unknown
- 2001-08-31 JP JP2002524504A patent/JP2004508334A/en not_active Withdrawn
- 2001-08-31 AU AU8986501A patent/AU8986501A/en active Pending
- 2001-08-31 KR KR10-2003-7003401A patent/KR20030043955A/en not_active Application Discontinuation
- 2001-08-31 CN CNA018153038A patent/CN1729002A/en active Pending
- 2001-09-05 PE PE2001000890A patent/PE20020348A1/en not_active Application Discontinuation
- 2001-09-05 MY MYPI20014168A patent/MY137766A/en unknown
- 2001-09-06 AR ARP010104233A patent/AR034150A1/en unknown
-
2003
- 2003-02-18 ZA ZA200301309A patent/ZA200301309B/en unknown
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101468023B (en) * | 2007-12-26 | 2011-02-02 | 上海复星医药（集团）股份有限公司 | Exemestane tablet and technique for preparing the same |
| WO2018041050A1 (en) * | 2016-08-27 | 2018-03-08 | China Medical University | Use of exemestane for the treatment of gastric cancer |
| CN110022879A (en) * | 2016-08-27 | 2019-07-16 | 中国医药大学 | Exemestane is used to treat the purposes of gastric cancer |
Also Published As
| Publication number | Publication date |
|---|---|
| EP1317270A1 (en) | 2003-06-11 |
| PE20020348A1 (en) | 2002-04-18 |
| WO2002020020A1 (en) | 2002-03-14 |
| MXPA03001983A (en) | 2003-06-24 |
| KR20030043955A (en) | 2003-06-02 |
| AU2001289865B2 (en) | 2007-03-01 |
| JP2004508334A (en) | 2004-03-18 |
| US20040024044A1 (en) | 2004-02-05 |
| ZA200301309B (en) | 2004-02-18 |
| AU8986501A (en) | 2002-03-22 |
| CA2419590A1 (en) | 2002-03-14 |
| MY137766A (en) | 2009-03-31 |
| BR0113625A (en) | 2003-07-22 |
| NZ524104A (en) | 2004-12-24 |
| AR034150A1 (en) | 2004-02-04 |
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